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Organization
NEWMARK NUTRITION, LLC
Active
Organization
NEWMARK NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE NEWMARK RD (OWNER)
(602) 264-3587
Entity
Organization
Contact information
Practice address
202 E EARLL DR STE 425, PHOENIX, AZ 85012-2649
(602) 264-3587
Mailing address
5182 W VISTA AVE, GLENDALE, AZ 85301-8610
(602) 264-3587
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
06/27/2016
Last updated
02/12/2019
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